Jobs · Healthcare

Skilled Nursing Facility (SNF) / Patient-Driven Payment Model (PDPM) Trainer

EXL · United States · 2 days ago
RemoteRemoteHealthcareFull-time

Clinical Training Excellence

Mentor and inspire SNF/RUG/PDPM auditors through 1:1 and group training sessions.
Develop and maintain engaging training materials, online modules, and interactive guides.
Evaluate training effectiveness, identify knowledge gaps, and implement creative solutions.
Conduct employee assessments and track growth over time.
Provide timely, constructive coaching to boost performance and compliance.

Audit & Clinical Review

Perform medical record audits to verify documentation accuracy and service alignment.
Ensure audits are consistent, clearly documented, and findings are well-articulated.
Compile detailed reports and maintain audit logs.

Performance & Team Development

Drive productivity, quality, and internal savings goals.
Respond proactively to communications and collaborate across teams.
Participate in team meetings, brainstorms, and calibration sessions.
Identify and report issues affecting audit processes or provider performance.

Continuous Learning & Innovation

Stay up to date with CMS guidelines and reimbursement models.
Contribute to continuous improvement efforts by attending trainings and sharing insights.
Bring new ideas to the table to evolve training and auditing processes.

Qualifications

  • RN, LPN, or LVN license (active and in good standing)
  • 5+ years of experience with MDS processes and completion
  • Strong background in SNF, RUG, PDPM, and Medicaid 48 grouper reimbursement
  • Previous experience in corporate training, clinical auditing, or utilization review
  • RAC-CT certification (active, or willing to recertify)
  • Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management
  • Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat)
  • Excellent communication, time management, and decision-making skills
  • Self-starter mentality with a passion for teaching and continuous learning

What We Offer

  • A fast-paced, innovative environment with a team of industry-leading experts.
  • Hands-on experience with top-tier clients in the healthcare industry.
  • Mentorship and career development programs to help you grow professionally.
  • A strong culture of collaboration, support, and inclusivity.
  • Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

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